PROFESSIONAL STANDARDS OF PRACTICE AND PERFORMANCE

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The Evolution of Nursing Practice

Since the time of Florence Nightingale, nurses have been trying to define what makes nursing a unique profession. She was the first to describe nursing as both art and science

ArtScience

Nursing: Both Art and Science Nursing as an ART

Based on a framework of caring and dignity

Acknowledges the dynamic processes of spirituality, healing, empathy and mutual respect

Embraces healing through compassion, helping, competence, being present, tolerance, acceptance and nurturing

Nursing as a SCIENCE Based on critical

thinking Requires clinical

decision-making Relies on evidence to

guide practice Uses strategies to

provide optimal outcomes

Nursing Defined It has not been until the last 40 years

that professional nursing organizations began to define the professional responsibilities of registered nurses.

Although there are many specialty nursing organizations, the American Nurses Association represents an authority in professional nursing without regard to the nurse’s practice environment

ANA’s Definition of Nursing

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. “

(Nursing's Social Policy Statement, Second Edition, 2003, p. 6 & Nursing: Scope and Standards of Practice, 2004, p. 7)

ANA Standards• Assessment• Diagnosis• Outcomes

Identification• Planning• Implementation• Evaluation

Nursing Process• Assessing • Diagnosing• Planning• Implementing• Evaluating

The ANA Standards of Practice are consistent with the nursing process we

are all familiar with.

ANA Standards of Nursing Practice

Standard 1 – Assessment The registered nurse collects comprehensive data pertinent to the

patient’s health or the situation. Standard 2 – Diagnosis

The registered nurse analyzes the assessment data to determine the diagnoses or issues.

Standard 3 – Outcomes Identification The registered nurse identifies expected outcomes for a plan

individualized to the patient or the situation. Standard 4 – Planning

The registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.

Standard 5 – Implementation The registered nurse implements the identified plan. The registered nurse coordinates care delivery. The registered nurse employs strategies to promote health and safe

environment. Standard 6 – Evaluation

The registered nurse evaluates progress toward attainment of outcomes.

The ANA Standards of Professional Performance help define nursing as a profession blending social values with evidence based practice

ANA Standards of Professional Performance

Quality of Practice The registered nurse systematically enhances the quality

and effectiveness of nursing practice. Education

The registered nurse attains knowledge and competency that reflects current nursing practice.

Professional Practice Evaluation The registered nurse evaluates one’s own nursing practice

in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.

Collegiality The registered nurse interacts with and contributes to the

professional development of peers and colleagues. Collaboration

The registered nurse collaborates with patient, family, and others in the conduct of nursing practice.

ANA Standards of Professional Performance

Ethics The registered nurse integrates ethical provisions in all areas

of practice. Research

The registered nurse integrates research findings into practice. Resource Utilization

The registered nurse considers factors related to safety, effectiveness, cost, and the impact on practice in the planning and delivery of nursing services.

Leadership The registered nurse provides leadership in the professional

practice setting and the profession.

How does Pardee Hospital’s Professional Practice Model align with the ANA’s Scope and Standards of Practice in our Journey to Magnet Excellence?

Patient Centered Care

(Customer Focus)

Leadership

Involvement of People

Process

Approach

System Approach to Management

Continual Improvement

Factual Approach

Mutually Beneficial Supplier

Relationship

ISO Quality Management Principles

Nursing Professional Practice Model

Ethics

Leadership – in the professional

practice setting and the profession

Collaboration

Six Standards of Practice- as demonstrated by

the nursing process

Collegiality

Quality of Practice

Professional Practice

Evaluation

Education

Research

Resource Utilization

ISO Quality Management Principles

Standards of Practice and Peformance

So What does it all mean?

Caring

Patient Advocate

Teamwork

Competent

Integrity

References

American Nurses Association. (2004). Nursing: Scope and standards of practice. Silver Springs, MD: Nursesbook.org.

Nurses of Los Angeles. (2010). Vintage Nursing Films. Retrieved June 2011, from Nurses of Los Angeles: Uncapping the Mystery: http://nursesoflosangeles.com/vintage-nursing-films-2/

Quotes from Florence Nightingale. (nd). Retrieved June 2011, from www.NightingaleExpressed.com: http://www.nightingaleexpressed.com/images/FloQuotesWeb.pdf

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